Focused Care of Waxahachie has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings despite a 4-star quality measures rating. It reports 2.82 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, $19,120 in fines over the last 24 months, and a recent federal penalty.
Last inspection: March 2, 2026Penalties, last 24 months: $19,120recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8238.
Staffing detail
Registered nurses
0.25
Licensed practical nurses
1.15
Nurse aides
1.43
Weekend nursing
2.42
Hours per resident per day.
Total staff turnover: 63%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
2.9%3.2%No change
Residents with a fall causing major injury
4.9%3.2%Improving
Residents with pressure ulcers (bedsores)
6.8%4.4%Improving
Residents with a urinary tract infection
0%1.6%Worsening
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.1%31.1%Worsening
Residents whose ability to walk got worse
4.5%30.7%Worsening
Long-stay residents on antianxiety or sleep medication
18.5%15.4%Improving
Short-stay residents newly given an antipsychotic
—3.6%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
19.1%10.3%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—91.4%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—69.2%—
Short-stay residents given the pneumonia vaccine
83.3%83.3%No change
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited October 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2024 — limited pattern, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — isolated incident, immediate jeopardy to residents.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2023 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited December 2023 — widespread issue, potential for harm.
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F-Tag 882 — 42 CFR §483.80 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $19,120 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 3 health deficiencies.
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Penalties & enforcement
On record with Medicare: 3 fines · $179,059 in total fines · 1 payment denial.
Federal fine
Mar 2, 2026
$19,120
Federal fine
Mar 27, 2024
$8,161
Medicare/Medicaid payment denial
Jul 17, 2023
28 days
Federal fine
Jul 17, 2023
$151,778
Operator & ownership
Ownership
For profit - Individual
Chain
Part of FOCUSED POST ACUTE CARE PARTNERS · 25 homes · 2.2 stars avg
Occupancy
64.9 residents on an average day (43% of 152 beds)
Medicare history
Certified for 40 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.